Active NPI
Michael David Romero
- Medical Physician Assistant
- Novato, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 64228
- Practice address
- 100 Rowland Way Ste 300
Novato, CA 94945-5041 - Phone
- (415) 878-0225
- Fax
- (415) 878-0215
- NPI assigned
- Jun 12, 2020
- Last updated
- Jul 26, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 64228 | CA | Primary |
Addresses
Primary practice location
100 Rowland Way Ste 300
Novato, CA 94945-5041
Mailing address
1055 N 500 W
Provo, UT 84604-3305
Phone (801) 354-8225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revere Health PC | Current | Accepting new patients | |
| Darya Soto MD Inc | Current | Accepting new patients | |
| Revere Health PC | Current | Accepting new patients |
Locations
100 Rowland Way
Ste 300
Novato, CA 94945
Phone (415) 697-8659
7100 Redwood Blvd
Ste 150
Novato, CA 94945
Phone (415) 878-0215
1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000
1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362
736 S 900 E
St George, UT 84790
Phone (435) 251-2888
736 S 900 E
Ste 203
St George, UT 84790
Phone (435) 673-6131
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pulmonary and Sleep Associates of Marin
- Pulmonary Disease Physician
- Novato, CA
- NPI 1164674248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1427673656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 N 500 W",
"city": "PROVO",
"state": "UT",
"postal_code": "846043305",
"telephone_number": "801-354-8225",
"fax_number": "801-418-0941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ROWLAND WAY STE 300",
"city": "NOVATO",
"state": "CA",
"postal_code": "949455041",
"telephone_number": "415-878-0225",
"fax_number": "415-878-0215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMERO",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-12",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "64228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.